NIKOLE RAE ORTA

ST PETERSBURG, FL
NPI1013469279
Former NameNIKOLE RAE BROOM-SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  9327079)
Enumeration Date2016-11-03
Last Update Date2019-10-04
Business Address
NIKOLE RAE ORTA ARNP
1344 22ND ST S
ST PETERSBURG, FL 33712-2744
Phone number: 727-824-8181
Mailing Address
NIKOLE RAE ORTA ARNP
PO BOX 25317
TAMPA, FL 33622-5317
Phone number: 813-286-0033
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